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Pregnancy With Type 1 Diabetes Book

New Pregnancy Guide For Women With Type 1 Diabetes

New Pregnancy Guide For Women With Type 1 Diabetes

We're sorry, an error occurred. We are unable to collect your feedback at this time. However, your feedback is important to us. Please try again later. Fortunately, the medical community has shifted in recent years to become more accepting of the fact that type 1 diabetes doesn't have to stop women from having healthy, happy babies. Many women have shared their inspirational stories of becoming T1 moms as well. And now, two of those experienced women are publishing a new "real-world" T1D pregnancy guide, just published in March 2017. We're happy to turn over the mic today to our social media coordinator and correspondent Rachel Kerstetter , who interviewed the authors -- our friends and Diabetes Online Community (DOC) advocate Ginger Vieira and PWD and Certified Diabetes Educator Jenny Smith . Be sure to read through to the end, for your chance to win a free copy of this new book! Chatting with New T1D Pregnancy Guide Authors, by Rachel Kerstetter Shortly after I was diagnosed with type 1, I was at a girls' movie night and one of the movie options was Steel Magnolias. Rachel, we might not want to watch this one, my friend said. When I asked why not, she confessed that she was afraid it would scare me with the way it portrayed pregnancy and type 1 diabetes. We watched it anyway and yes, it scared me. However, it is completely possible to have a successful pregnancy and a healthy baby if you have type 1 diabetes. The new, self-published book, Pregnancy with Type 1 Diabetes , is a month-by-month guide to a T1D pregnancy journey by Ginger Vieira and CDE Jennifer Smith. Ginger is an author, writer and health coach who has lived with type 1 diabetes and celiac disease since 1999, and diagnosed with fibromyalgia in 2014. You may be familiar with her other books "Dealing with Continue reading >>

A Guide For Pregnancy With Type 1 Diabetes: You Deserve This Book!

A Guide For Pregnancy With Type 1 Diabetes: You Deserve This Book!

A Guide for Pregnancy with Type 1 Diabetes: You Deserve This Book! This book, Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Diabetes Management ,will offer women with type 1 diabetes something no book has ever offered: detailed education and guidance to achieving optimal blood glucose management during pregnancy. Managing type 1 diabetes on a daily basisregardless of pregnancyis a constant balancing act of food, activity, and detailed adjustments in insulin dosages in pursuit of the healthiest blood glucose levels possible. Adding pregnancy to that balancing act is one of the most challenging experiences a woman with type 1 diabetes will take on because daily and weekly fluctuations in hormone levels, slowed digestion, endless cravings, and the incredible re-ignition of their own insulin production presents a variety of new and arduous challenges. Understanding when, when, and by how much to adjust your insulin doses during pregnancy is absolutely the most important thing a woman with type 1 diabetes needs to concern herself with for the sake of both healthy mom and healthy baby. But those adjustments and fluctuations in insulin needs are very complicated and change constantly throughout the 9 months and after labor. Very specific A1C targets are not only recommended but also required by some physicians before granting a women with type 1 permission to start trying to become pregnant achieving and sustaining those A1C goals is challenging on a daily basis. While most women will have their own healthcare team working closely with them, the day-to-day management of insulin dosing adjustments and the endless list of quirky changes that occur in the diabetic body during pregnancy are not something one can or will easily have time to learn in the doctors offi Continue reading >>

Pregnancy With Type 1 Diabetes

Pregnancy With Type 1 Diabetes

Forty five years ago when I was diagnosed with type 1 diabetes I was clearly told I couldn’t have children. I didn’t. Today, thankfully that advice is no longer given. And while a woman with Type 1 diabetes needs to take precautions, she can absolutely, and safely, have a healthy baby. I sat down for an interview with Ginger Vieira, co-author,with Jennifer Smith, of the recent book, Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management. What will people find in the book? As much information as you possibly need to understand why your blood sugars fluctuate during pregnancy and how to adjust your insulin management to keep your blood sugars as close to non-diabetic levels as possible. Also the book covers preparing for pregnancy, months one through nine of your pregnancy, delivery, and postpartum, including the challenges of breastfeeding for a woman with type 1 diabetes. My co-author Jenny is also my diabetes pregnancy coach. As a certified diabetes educator, woman with type 1 diabetes and mother, she knows this journey inside and out. What makes pregnancy for a woman with type 1 diabetes challenging? Let’s face it, a normal day with type 1 diabetes is challenging, balancing an autonomic system your body ought to balance on its own. And we’re only given insulin to do the job, while a non-diabetic body uses several different hormones to balance blood sugar. Add pregnancy to that mix and you add the insane pressure of, “Every decision you make impacts the human life growing inside of you!!!” And now you have to balance your blood sugars with constantly shifting pregnancy hormones. Plus those hormones impact your insulin needs in ways that are constantly changing and evolving. Also, there is never a break. Even when you’re sleepi Continue reading >>

11 Tips To Surviving Early Pregnancy With Type 1 Diabetes

11 Tips To Surviving Early Pregnancy With Type 1 Diabetes

Congratulations – you’re pregnant! (Or, alternatively: uh oh – you’re pregnant!) Either way, this is where your adventures in pregnant blood sugar management will truly begin. You have a challenging road ahead of you, but the good news is that there’s a lot you can do to increase your chances of a healthy pregnancy and a healthy baby. (For preconception tips see here). 1. (Keep up the) work on your A1c: Hopefully by this point your HbA1c is at the target level that you and your doctor agreed upon before conception. This is important because very high blood sugar over time is associated with an increased risk of birth defects and miscarriage. (Though, on the more optimistic flip side, the closer your blood sugar is to normal, the lower the chance of problems.) If your A1c was extremely high in the months before conception, you need to have a frank conversation with your doctor about what impact these levels may have had on your developing embryo, and what this might determine about whether to continue the pregnancy (or what your risk is of losing it). If it’s a go, you need to immediately start working on bringing your blood sugar under control. 2. Test, test, test. In order to come anywhere close to the super-human blood glucose targets of pregnancy (60-99 mg/dl fasting, a peak of 100-129 mg/dl after meals, an average daily blood glucose of 110 mg/dl, and an A1c of less than 6.0%[1] ), you need to be testing your blood glucose a lot. As in, probably more than a dozen times a day. As noted in our pre-conception tips, a Continuous Glucose Monitoring System (CGMS) can be enormously helpful in tracking your pregnancy blood sugars, since it gives you a nearly real-time graph of where your blood glucose has been and where it’s heading — and having advance warn Continue reading >>

Pregnancy With Type 1 Diabetes: Your Month-to-month Guide

Pregnancy With Type 1 Diabetes: Your Month-to-month Guide

WE HAVE REACHED OUR GOAL! Anything raised beyond $3000 will cover the expenses of shipping books to those who donated for a paperback copy and other shipping costs for marketing the book. Managing type 1 diabetes during pregnancy is an incredibly overwhelming pursuit. Its about so much more than just counting your carbs and getting exercise. In type 1 diabetes, pregnancy causes constant changes in your insulin needs and the tediously specific timing of your insulin doses before each meal (and sometimes even several hours after you finished eating!). The stress, arduous effort, and labor of love is something no woman with type 1 should have to endure without support and knowledge. In this book, we'll guide you through preparing for pregnancy, from conception to the birth of your child, and postpartum. Despite the obvious need for this book, traditional publishers told us the audience (women, pregnant, with type 1) is too small and thus not worth publishing a book for. We feel that you deserve this book! We are both type 1 mamas and we know first-hand just how intensely challenging and complex diabetes management during pregnancy is. So, we are self-publishing this book -- and we'll need help raising the funds to hire a graphic designer (Carmen Garza from ThinkCarmen.com ) to create the exterior and interior of the book. In fact, we've already gone ahead and written more than half of the book -- and plan to complete it and have it published by the end of 2016. Pregnancy with Type 1 Diabetes, by Ginger Vieira and Jennifer Smith, will provide women with the in-depth details of diabetes management you need for the safest and healthiest pregnancy possible! If we are unable to raise the funds needed to fully pay our graphic designer, we will pay for those funds from our own p Continue reading >>

10 Pregnancy Tips For Type 1 Moms-to-be

10 Pregnancy Tips For Type 1 Moms-to-be

Being pregnant to start withis nerve wrecking there are so many things I find myself worrying about (Im sure they are the same things every other soon-to-be mom feels. But add on Type 1 diabetes and the stress can be on a whole new level. Its inevitable, BUT it is also totally possible to have a successful, healthy, vibrant, glowing, awesome, feel-good and perfect pregnancy, despite the extra challenges that may rise! I PROMISE! I am 27 weeks and in my third trimester. I feel great, my A1C has dropped in such a short amount of time and I am so anxious to meet our little boy who has been growing inside my body. These 10 tips have helped me stay fit, physically and mentally, through my pregnancy: 1. Learn from other women in the same boat Get the book Balancing Pregnancy with Pre-Existing Diabetes by Cheryl Alkin (there were some parts I skipped over but its a good reference written by other women who you will totally be able to relate to). I also love the book Praying through Pregnancy by Jennifer Polimino. Focus on getting your A1C Down. If you can, treat the months leading up to your pregnancy as if you are already pregnant (most of your babies development will happen within the first 9 weeks, so this is so important because usually you dont find out you are pregnant until well into those first few weeks). Test A LOT, this will inevitably make your A1C go down. Its amazing how fast it can actually come down and nothing is more motivating than having your baby inside of you. When I found out I was pregnant, my A1C was 7.1, my doctor (just a couple weeks before) gave me the okay to start trying but little did I know it would happen so quickly. As soon as I found out, when I was around 6 weeks, I worked super hard to get that number down. I started testing every hour alm Continue reading >>

Now Available: Joslin Pregnancy And Diabetes Book

Now Available: Joslin Pregnancy And Diabetes Book

Now Available: Joslin Pregnancy and Diabetes Book As recently as 25 years ago, women with diabetes were told to abandon any hopes of having children. It was considered just too risky for both the mother and her baby. But today, thanks in no small part to the work of clinicians at the Joslin Diabetes Center (led for many years by Priscilla White, MD, one of the founding members of the Joslin Clinic), dramatic strides have been made to improve the chances of expectant mothers with diabetes and their babies. For a woman who manages her diabetes carefully during pregnancy and has no complications, the outlook today for a successful outcome is 97%an all time high. Now, Joslin Diabetes Center is pleased to announce the publication of Staying Healthy with Diabetes Planning and Managing Your Pregnancy written by Suzanne Ghiloni, RN, BSN, CDE and the staff of Joslin Diabetes Center reviewed and edited by Florence M. Brown M.D, both part of the Pregnancy Program at Joslin Diabetes Center, a collaborative effort of the Joslin Clinic medical staff and the high-risk maternal-fetal medicine specialists at Beth Israel Deaconess Medical Center. Staying Healthy with Diabetes Planning and Managing Your Pregnancy provides comprehensive information for women with diabetes who want to have a baby or who are already pregnant. It also addresses gestational diabetes, which is a form of diabetes that develops during pregnancy. The book explains the effects of pregnancy on diabetes and of diabetes on pregnancy, how preconception planning can reduce risks to the mother and baby, as well as what one needs to know about glucose management, nutrition and exercise in order to have a healthy pregnancy and a healthy baby. Labor, delivery and postpartum care are also discussed.\ Staying Healthy with Di Continue reading >>

How I Curbed My Fear Of Pregnancy With Type 1

How I Curbed My Fear Of Pregnancy With Type 1

How I Curbed My Fear of Pregnancy with Type 1 In this excerpt from a forthcoming book, Ginger Vieira describes the mental shift it took for her to want to try to become pregnant. Insulin Nation contributors Jennifer Smith and Ginger Vieira are collaborating on a book called Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide for Diabetes Management. They have launched a Kickstarter crowdfunding campaign to help fund the books completion and publication. You can contribute here . Below this video about their campaign is an edited excerpt of this forthcoming book about how, after years of doubt, Ginger Vieira decided to become a mother. Enjoy! If you had asked me when I was 18 years old if I wanted to have a baby, I wouldve said, No way. Absolutely not. Id felt that way for as long as I could remember. Looking back, I realize now that I saw babies and pregnancy as a threat to my own well-being and health, and conversely saw my diabetes as a threat to babies and pregnancy. I now know that my feelings were actually fueled by fear. While I definitely dont live in fear on a daily basis, and certainly dont think about my fears around diabetes regularly, those fears are still there lurking in the back of my mind. And I would guess that may be true for many of the people I know with Type 1 diabetes. No matter how diligent we are, how many marathons we run, powerlifting competitions we win, or promotions we get at workno matter what our A1C scores are, there is still always that fearful little voice somewhere in there saying, My body doesnt function properly. I rationalized with myself that a woman with Type 1 doesnt need to endure that stress of pregnancy or raising an infant while trying to maintain healthy blood sugars levels. At one point, I even thought maybe women wi Continue reading >>

Diabetessisters

Diabetessisters

We recently had the opportunity to sit down with esteemed DiabetesSisters' faculty member, Ginger Vieira, to chat about her recent pregnancy while living with diabetes. Ginger, along with CDE Jennifer Smith,has recently released a book, Pregnancy with Type 1 Diabetes, which is available for purchase here . Q: What challenges do you think surprises women the most during the journey? Ginger: Specifically for women with type 1 diabetes, I think the biggest surprises are just how tightly you can manage your blood sugars with the inspiration of a bun in the oven! And secondly, just how much insulin you need in the last trimester! But I also think diabetes magnifies some of the challenges that surprise most women (even non-diabetics) during pregnancy. For instance, you can be extremely healthy prior to pregnancy but still experience complications during pregnancy like pre-eclampsia or the slew of bizarre challenges that can occur during pregnancy! And the same goes for how your baby is born into the world: you have no control over that beyond doing the best you can to manage your diabetes well, but so many other things can happen that change the way your child is born. Q: Ginger, what surprised you the most during your own pregnancies? Ginger: During my first pregnancy, I was definitely surprised at just how inconsistent the timing is of when you need to increase your insulin doses in the 2nd and 3rd trimesters. Some weeks you make no changes and other weeks you might have to increase your background insulin by 2 units merely 3 days after having just increased it. During my second pregnancy, I was expecting this so I was much quicker about making those dose changes which made blood sugar goals easier because I didnt spend as many days thinking, Geez, what am I doing wrong? I Continue reading >>

Book: Pregnancy With Type 1 Diabetes

Book: Pregnancy With Type 1 Diabetes

Type 1 Diabetic striving to get A1C below 7 For those of you who have been reading my blog for a while, you know that I wrote extensively about both of my pregnancies . After my first pregnancy, I was actually contacted to share my experiences on Type 1 diabetes and pregnancy for a book to be published. Well I am happy to report that the book is finally here!! Its called Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management and two of my favorite diabetics, Jenny Smith (my CDE!) and Ginger Vieira wrote it. I was actually given an advanced copy and I have read it and I think it will help out so many people who are going through pregnancy with Type 1 diabetes. My story has also been featured in the book, although re-reading what I said I wish I had been a little bit more encouraging. I focused on the day to day dealings and some of the difficulties but I dont want to discourage any T1Ds from getting pregnant. I have two amazing boys to prove that its possible and the hard work is worth it! So if you or someone you know is pregnant or thinking about getting pregnant (and has T1D obviously) then tell them to check this book out. Im so excited its finally been published! Congrats to Jenny and Ginger! Continue reading >>

Pre-existing Diabetes And Pregnancy

Pre-existing Diabetes And Pregnancy

If you have type 1 or type 2 diabetes and are planning a family, you should plan your pregnancy as much as possible. Controlling your blood sugars before conception and throughout pregnancy gives you the best chance of having a trouble-free pregnancy and birth and a healthy baby. If you have diabetes and your pregnancy is unplanned, there’s still plenty you can do to give your baby the best start in life. The information on this page is for women who have diabetes before becoming pregnant. If you develop diabetes during pregnancy, it is called gestational diabetes. Planned pregnancy Visit your doctor or diabetes educator at least 6 months before you start trying to fall pregnant, if you can. You will be given advice and guidance on controlling your blood sugars as tightly as possible, and taking necessary supplements like folate. You may also be advised to change medications. If you are healthy and your diabetes is well controlled when you become pregnant, you have a good a chance of having a normal pregnancy and birth. Diabetes that is not well controlled during pregnancy can affect your health long-term and can also be risky for your baby. Unplanned pregnancy Not everybody can plan their pregnancy. If you have diabetes and think you might be pregnant, see your doctor as soon as you can. Your healthcare team You may be cared for by a team of health professionals including: an obstetrician who can handle high risk pregnancies a specialist experienced in diabetes care during pregnancy, who may be an endocrinologist or who may be a general physician a diabetes educator to help you manage your diabetes a dietician who can provide dietary advice at all the different stages - before conception, while pregnant and after the birth a midwife who is experienced in all aspects Continue reading >>

Pregnancy With Type 1 Diabetes By Ginger Vieira & Jennifer Smith, Cde & Rd - Home | Facebook

Pregnancy With Type 1 Diabetes By Ginger Vieira & Jennifer Smith, Cde & Rd - Home | Facebook

Here's a little proof that women with Type 1 diabetes can clearly make beautiful, healthy babies! Smile, Violet! (My baby girl #2 at 3.5 months old.) Post a pic of YOUR beautiful baby created by a mama with type 1! "Just wanted to let you know that I just ready the Month 6 chapter in your book (I'll be 24 weeks tomorrow). I loved it!!! Here are the parts that especially spoke to me: - Where to put your CGM and infusion sites - High blood sugars with new infusion site - THANK YOU!!!! This started happening to me about 2 years ago when I use my butt, and it drives me crazy! I asked my endo about it, and she said she'd never heard that and had no idea. I felt like maybe I was imagining it. It was so nice to read that this is actually a thing, along with an explanation for why it happens and what I can try to prevent it. - The discussion about not going past 38-39 weeks. I was totally unprepared for that with my first pregnancy. How I wish I'd had a book like this to warn me and to know that my MFM's advice was 100% consistent with the research and wasn't just her being overly cautious. - The forgiving section on big babies. A few days ago I had my first ultrasound where my MFM said the baby is measuring large - 90% - and I need to do better at watching my blood sugars so the percentage doesn't keep increasing. So frustrating since my last A1C was 4.9!!! Really nice to read your gentle, no-shame approach to this, as well as the clearly explained consequences of a big baby. - The Week 27 section of Ginger's Diary brought tears to my eyes. I feel exactly the same way, and it can be really lonely knowing that is all in my head, and even the people most dear to me don't really get it. Reading that section was really comforting. So happy this book is out there. Just wanted to l Continue reading >>

Diabetes In Society

Diabetes In Society

Type 1 diabetes and pregnancy Ginger Vieira It wasn’t very long ago when a young girl’s diabetes diagnosis would come with the doctor warning her parents that she would never be able to experience pregnancy and give birth to her own children. In fact, if you have the unfortunate luck of being diagnosed by the wrong medical team, they might still be telling parents and young women that pregnancy with type 1 diabetes (T1D) is out of the question. Today, it’s very possible for a woman with T1D to pursue a healthy and safe pregnancy. However, women living with T1D need to understand that while this journey doesn’t come without challenges, it’s perfectly natural if the idea of managing diabetes during pregnancy seems daunting. Managing blood glucose with insulin therapy and carbohydrates is complicated on any given day, and it absolutely becomes much more complicated with pregnancy. With the right support, the correct information and knowledge, a woman with T1D can anticipate how insulin needs and blood glucose will be impacted by the journey of pregnancy. Giving birth is a reasonable pursuit for any woman, and that includes women with T1D. In 2017, I wrote Pregnancy with Type 1 Diabetes. Simply put, the book was created to provide women with the most important information in order to manage diabetes well during pregnancy. The first half of the book is a detailed, in-depth guide to T1D management prior to pregnancy, and the second half of the book guides the reader through each month of pregnancy, delivery, postpartum and breastfeeding. Why is pregnancy with type 1 diabetes complicated? The hardest part about managing blood glucose in that much tighter range during pregnancy is that insulin needs will be constantly changing, in part, becaus Continue reading >>

Balancing Pregnancy With Pre-existing Diabetes: Healthy Mom, Healthy Baby

Balancing Pregnancy With Pre-existing Diabetes: Healthy Mom, Healthy Baby

Shelves: baby-stuff-and-parenting , female-pen , health , nonfiction , kindle-owned , 2013 For the record, Im not pregnant or trying to get pregnant, but I figured this would be a smart book to read just in case. And I definitely learned a lot. I highly recommend this book for diabetic women who want to know more about managing their diabetes while dealing with the additional stress of pregnancy. Whether youre a Type 1 or Type 2 diabetic, its a really excellent resource. The author provides you with the most current blood sugar guidelines and tips on how not to freak out when your For the record, Im not pregnant or trying to get pregnant, but I figured this would be a smart book to read just in case. And I definitely learned a lot. I highly recommend this book for diabetic women who want to know more about managing their diabetes while dealing with the additional stress of pregnancy. Whether youre a Type 1 or Type 2 diabetic, its a really excellent resource. The author provides you with the most current blood sugar guidelines and tips on how not to freak out when your blood sugar is out of range (which it will be), as well as steps to correct your sugar when its out of range. The book is divided into chapters dealing with pre-pregnancy health, what to expect and how to cope with the fun of each trimester, what your nutritional requirements will likely be, how to deal with blood sugar fluctuations during labor and surgery, as well as how to continue caring for yourself once you have a needy newborn who might (will) impinge on your me-time. She also has a chapter dealing with diabetes and infertility, which I mostly skimmed. I wish this book had been available when I was expecting my daughter, who is almost six now, as it would have been not only really educational, but Continue reading >>

'pregnancy With Type 1 Diabetes' By Ginger Vieira And Jennifer C. Smith, Rd, Cde

'pregnancy With Type 1 Diabetes' By Ginger Vieira And Jennifer C. Smith, Rd, Cde

'Pregnancy with Type 1 Diabetes' by Ginger Vieira and Jennifer C. Smith, RD, CDE Pregnancy with Type 1 Diabetes:Your Month-to-Month Guide to Blood Sugar Management by Ginger Vieira and Jennifer C. Smith, RD, CDE (Create Space Independent Publishing Platform, 334 pages, $ 11.99 paperback ) If you have type 1 diabetes and are contemplating having a baby, before you do anythingand that means anything at allmake sure you grab a copy of Pregnancy With Type 1 Diabetes by Ginger Vieira, CHC, CPT and Jennifer C. Smith, RD, CDE. The book is subtitled Your Month-to-Month Guide to Blood Sugar Management, but its so much more, it will likely be referred to as the Type 1 pregnancy bible before long. The first issue the authors tackle is the whether or not women with type 1 diabetes should even have children in the first place. After all, why take the chance on passing along a serious chronic disease to your child? Well, prolific diabetes writer, editorial director of DiabetesDaily.com and educator, Vieira takes care of that old-school thinking right off the bat, offering the science that backs up determining the likelihood of ones child developing diabetes, depending on how the mom takes care of herself prior to and during pregnancy. Her age, her ethnicity, her pregnancy A1C , her level of physical activityall are significant in calculating not only the chances of the child developing diabetes, but how those odds differ from the general population. Its not just eating right that keeps your blood sugar in check when youre pregnant, since this is the time when your hormones are having a nine-month-long party in your body, Ginger tells us. Its a long, arduous and often confusing time, but thats why this book is a must have. The inclusion of the personal journeys of Ginger, a health co Continue reading >>

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